• Title/Summary/Keyword: Self-management

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The Effect of Self-Help Management Program by Strengthen Self-Efficacy on Self-Efficacy and the Activities of Daily Living in Stroke Patients (자기효능증진 자조관리 프로그램이 뇌졸중 환자의 자기효능과 일상생활동작 수행능력에 미치는 효과)

  • Kim, In-Sook;Kang, Seung-Joo;Kim, Kye-Ha
    • Korean Journal of Adult Nursing
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    • v.20 no.4
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    • pp.526-536
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    • 2008
  • Purpose: This study examined the effect of a self-help management program which strengthens self-efficacy on the self-efficacy and the activities of daily living(ADL) in stroke patients. Methods: A quasi-experimental nonequivalent control group, pre and post design was used. The subjects consisted of 47 stroke patients. Twenty-six patients were assigned to the experimental group and 21 patients were assigned to the control group. The self-help management program by strengthen self-efficacy and general hospital care were carried out on the experimental group. General hospital care was performed on the control group. The data was collected before and 5 weeks after the program. All subjects were questioned about the self-efficacy and ADL before and after the program. Results: The scores of the self-efficacy and ADL in the experimental group were higher than those in the control group. Conclusion: The self-help management program by strengthen self-efficacy is effective in increasing the self-efficacy and ADL. Therefore this program may be a useful intervention to increase the ADL in stroke patients.

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The Relationship between a Motivational Climate and Self-management for Elite Athletes (엘리트 운동선수들의 동기분위기 지각과 자기관리와의 관계)

  • Hwang, Sung-Geun
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.493-500
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    • 2016
  • This study aims to verify the relationship between a motivational climate and self-management perceived by athletes. 195 male and 153 female athletes participated in this study. Firstly, reliability and validity are verified for questionnaires, and descriptive statistics, one way ANOVA, and regression analysis are used. The result of the correlation analysis says that all the factors have meaningful relations among them. The analysis on the effects of the motivational climate on self-management indicates that the mastery climate perceived by the athletes has affected statically the sub-factors of self-management such as mental management, training, management, personal relationship management, life management, health management, and intrinsic behavior control. However, the competitive climate didn't help self-management. Based on the study, it was suggested that through the mastery climate, a leader should make athletes manage and control themselves in terms of conquest strategies, self-assessment, problem-solving and decision-making skills, self-control, goal setting, efforts to strengthen oneself, and plan.

The Effects of Community-Based Self-Help Management Program by Strengthening Self-Efficacy of Post Stroke Elderly Patients (재가 뇌졸중 노인환자에서 자기효능증진 전략을 이용한 자조관리프로그램의 효과)

  • Yu, Su-Jeong;Kim, Hyun-Sook;Kim, Keum-Soon;Baik, Hwan-Gum
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.2
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    • pp.187-197
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    • 2001
  • The purpose of this study was to determine the effects of self-help management program which strengthens self-efficacy for post stroke elders who attend day care center in Chongju. One group pretest-posttest design was used, and the subjects were 7 post stroke elders with hemiparesis. The self-help management program consisted of 5 sessions and each session included group education on stroke, ROM exercise, recreation and self-care strategies. Those strategies for encouraging and reinforcing self-efficacy provided verbal persuasion, performance accomplishment and vicarious experience. All subjects were questioned before and after the program about ADLs, IADLs, self-efficacy, self-care behavior and depression. The analysis of data revealed that the program was effective to increase the IADLs, self-efficacy and self-care behavior. However, there was no significant difference between pre and post ADLs and depression. The results indicated that this program may be adopted to improve the physical and psychological function of post stroke elderly patients in community settings.

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The Effects of Hypertension Self-help Program on Hypertension-related Knowledge, Self-efficacy, Self-management Compliance and Physiological Parameters in Workers (고혈압 자조집단 프로그램이 근로자의 고혈압 관련 지식, 자기효능감, 자가관리 이행도 및 생리적 지수에 미치는 효과)

  • Gi, Mi-Young;Park, Young-Hae
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.1-9
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    • 2012
  • Purpose: This study was to examine the effects of the hypertension self-help program on knowledge, self-efficacy, self-management compliance, and physiological parameters for workers with hypertension. Methods: The subjects of study were 54 patients with hypertension, divided into 28 of experimental group and 26 of control group, working in a general work place located in K city from June to September, 2009. Experiment treatment was a 12-week self-care program given for two hours, once a week. Results: After conducting a self-help program, the experimental group showed significant increase in knowledge level, self-efficacy, self-management compliance, and physiological parameters including blood pressure, BMI, total cholesterol level, neutral fat, and LDL-cholesterol of blood lipids compared to the control group. Conclusion: This program is greatly recommended for workshops.

A meta-analysis of intervention studies on the effects of self-management in knee osteoarthritis (무릎 골관절염 대상자에게 적용한 자가관리 중재의 효과 메타분석)

  • Kim, Young-Il;Park, Jeong Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1946-1956
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    • 2015
  • The purpose of the this study was to provide objective evidence through a systematic review and meta-analysis regarding the effects of self-management in knee osteoarthritis. Articles published between 1999 and 2013 from periodicals indexed Ovid Medline, CINAHL, PubMed, RISS, KISS and other databases were selected, using the following key words: Osteoarthriti* OR OA, self-(management OR care OR help). A selection of 11 studies(7 randomized controlled trials and 4 quasi-experimental interventions that were used were exercise, education, massage and self-help group. As a result of mera-analysis, self-management significantly effected pain, physical function, activities of daily living, and self-efficacy. In particular, self-management showed great effect on ADL, and moderate effect on pain and physical function. Based upon these result, it is necessary to develop a standardized self-management program for knee osteoarthritis patients.

Behavior Change Theories in Diabetes Self-management: A Conceptual Review (당뇨 자기관리를 위한 행위변화 이론: 개념적 고찰)

  • Choi, Su-Young;Song, Mi-Soon
    • Perspectives in Nursing Science
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    • v.7 no.1
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    • pp.1-9
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    • 2010
  • Purpose: The purpose of this study was to review behavior change theories in terms of important variables, concept definitions, and applicability to diabetes self-management behavior. Methods: Six behavior change theories (the Transtheoretical Model, the Health Belief Model, the Theory of Reasoned Action, the Theory of Planned Behavior, Social cognitive theory, and Information-Motivation-Behavioral skills Model) were reviewed which were applied in diabetes self-management interventions. Results: The five key concepts from the five non-stage behavior change theories were delineated. Based on the key concepts, a theoretical framework was formulated as the explanatory model of diabetes self-management behaviors. The four major concepts in Information-Motivation- Behavioral skills Model were included. The cognitive arm of the proposed theoretical framework included constructs related to diabetes knowledge, motivation (beliefs, attitude, social norm), self-efficacy, and intention. Conclusion: The theoretical framework described here includes the key factors of successful diabetes self- management intervention. However, the concept of motivation needs further exploration and clarification for operationalization.

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Influence of Self-construal on Sociocultural Attitude Toward Physical Appearance, Body Satisfactions, and Appearance Management Behavior (자기해석이 신체적 외모에 대한 사회·문화적 태도, 신체만족도, 외모관리행동에 미치는 영향)

  • Lee, Soo Gyoung;Cho, Hyunjung
    • Journal of the Korean Society of Clothing and Textiles
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    • v.38 no.4
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    • pp.528-539
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    • 2014
  • This study analyzed the influence of self-construal on sociocultural attitude toward physical appearance, body satisfaction, and appearance management behavior through a structural equation model. The empirical study was based on the response of 369 adult females between the ages of 20 and 49 in Seoul. Self-construal was presented as an independent self-construal and interdependent self-construal, respectively. The sociocultural attitude toward physical appearance as an intermediate variable in the research model was composed of two sub-factors that included internalization and awareness. The other (body satisfaction) was measured by two factors (body and face). Appearance management behavior (as a final outcome variable) were composed of various factors that included clothing concern, skin care, hair care, and weight training. The findings of this study were: 1) the effect of independent self-construal on the sociocultural attitude toward physical appearance was not significantly meaningful; however, interdependent self-construal influenced it positively. 2) Sociocultural attitude toward physical appearance appeared to have a negative effect on body satisfaction. 3) The body satisfaction also had a negative effect on appearance management behavior in this study.

Developing a Home-based Self-management Support Intervention for Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease (만성폐쇄성폐질환 환자의 호흡재활을 위한 재가 자가관리 증진 중재 개발)

  • Song, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.75-87
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    • 2015
  • Purpose: The purpose of this study was to develop a home-based self-management support intervention (SMSI) for enhancing pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD) in Korea. Methods: This methodological study was conducted by following these 4 steps: constructing the preliminary draft of a home-based SMSI from existing recommendation and a literature review on PR and self-management interventions; testing content validity with 6 experts in COPD; exploring clinical applicability of the intervention by applying it to 4 COPD patients; determining the final intervention. Results: The final intervention included 4 components and contents identified from the literature review as essentials for self-management of COPD patients: education; exercise training and practice including breathing, muscle strengthening and aerobic exercises; cognitive behavioral strategies including informative self-decision making, collaborative goal setting and supportive advice; and action planning for exacerbation. The intervention was designed to be run by a trained nurse and had 8 weekly sessions consisting of three 60-minute face-to-face sessions and five 20-minute phone-call sessions. Conclusion: The intervention developed in this study incorporates essential components of self-management, i.e. action plan and cognitive behavioral strategies, and will contribute to enhancing and maintaining effects of PR by increasing self-management in COPD patients.

Learners' Attitude toward E-Learning: The Effects of Perceived System Quality and E-Learning Usefulness, Self-Management of Learning, and Self-Efficacy

  • Um, Namhyun
    • International Journal of Contents
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    • v.17 no.2
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    • pp.41-47
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    • 2021
  • The coronavirus pandemic has brought about dramatic changes in education, evidenced most clearly by the increase in e-learning. Thus, to identify how learners' attitudes toward e-learning are affected by diverse factors, this study examined the effects of perceived system quality and usefulness, the self-management of learning, and self-efficacy. A total of 236 college students participated in the survey. Multiple regression analysis was performed to test the study's proposed hypotheses. The study findings suggested that learners' attitudes toward e-learning are positively influenced by perceived e-learning usefulness, self-management of learning, and self-efficacy. However, the perceived system quality had no influence and no statistical significance.

A Study on Blood Glucose Level and Self Management among Community Dwelling Type II Diabetes Patients (당조절이 되지 않는 지역사회 제2형 당뇨환자에서의 혈당수준과 자가관리 실천정도 간의 관계)

  • Park, Ju-Young;Lee, Tae-Yong;Jang, Keong-Sug;Oh, Hee-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.3
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    • pp.271-280
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    • 2010
  • Purpose: The purpose of this study was to examine relationships among blood glucose, HbA1c, and self management comparing these with general and illness characteristics of subjects with Type II Diabetes living in the community. Methods: Using a comprehensive survey developed for the study, data were collected from 82 type II diabetes patients who were registered at five community health departments. The variables of self management, blood glucose and HbA1c were assessed by nurses. Data were analyzed with descriptive statistics including t-test, ANOVA and Pearson's correlation coefficient to compare self management and level of HbA1c by subject's general and illness characteristics and to examine the relationships among variables. Results: About 73.2% of the subjects' HbA1c were 7.0% or higher and 54.9% of subjects' blood glucose were 200 mg/dL or higher. The level of self management was moderate. Most frequently perceived reasons for failure of blood glucose control were dietary failure (32.9%). There was significant relationship between self management and HbA1c(r=-.223, p=.040). The mean score of self management were higher among female (t=-2.37, p=.021), who are not on diabetes medication (t=6.70, p=.011). Conclusion: Comprehensive intervention is needed to improve dietary self management, especially for male and those who is on diabetes medication.